Rodriguez, Ricardo Walter
Rodriguez, Ricardo Walter is an individual health care provider with primary practice located at 12800 Bothell Everett Hwy , Everett WA 98208-6642. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Rodriguez, Ricardo Walter can be contacted via phone (425) 316-5150.Contact Information
Primary practice address
12800 Bothell Everett Hwy
Everett WA 98208-6642
Phone: (425) 316-5150
Fax: (425) 225-1006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30006969 | Washington |
Profile Details
| NPI number | 1992858377 |
|---|---|
| LBN Legal business name | Rodriguez, Ricardo Walter |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Mar 5th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992858377 | NPPES |
| Washington | MEDICAID | 7034218 |
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